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General NPI Number Information
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NPI Number | 1346252558
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Entity Type | Individual
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Provider Name | ALISON SMITH M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 11/05/2007
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Provider Practice Location Address
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Address Line | 770 TAMALPAIS DR SUITE 402
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City | CORTE MADERA
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State | CA
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Zip | 94925-1700
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Country | US
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Telephone | 415-927-7900
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Fax | 415-927-7925
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Provider Business Mailing Address
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Address Line | 555 SE WASHINGTON ST PO BOX 378
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City | DALLAS
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State | OR
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Zip | 97338-2829
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Country | US
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Telephone | 503-623-7301
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Fax | 503-831-3473
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G54165
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License Number State | CA
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